Congenital Clubfeet

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Congenital Clubfeet
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Why should we learn about a handicap such as
clubfoot?

• In general, it is necessary for everyone to
  understand individuals with handicaps.
• (For example, what caused the handicap, how
• do you treat it, and how it has affected their
• life?)
• Everyone should be informed not to judge someone
  else based on an uncontrollable factor of their
  life.

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What we will learn about clubfeet?

• The important features of clubfoot.
• The treatment of clubfoot.
• How individuals lives are affected because they
  are born with congenital bilateral clubfeet.

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The features of clubfeet

• What is congenital clubfoot?
• It is a structural foot deformity present at
  birth.
• What is a structural foot deformity?
• There is a deformity not only to the bones and
  muscles, but also the ligaments and tendons.

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Appearance

• Three Main Features
• Forefoot Adduction
• Midfoot supination
• Hindfoot equinous

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Pictures of Clubfeet
Bilateral Clubfeet
Unilateral Clubfoot
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Causes

• Three different theories
• Utero Malalignment
• External Factors such as chemical abuse
• Genetic Factors

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Demographics

• 1 out of every 1000 people on average are born
  with clubfoot.
• Incidence of clubfoot varies significantly with
  race
• Polynesians- 6.8 per 1000
• Orientals- 0.57 per 1000
• Caucasians- 1.2 per 1000
• 50 of cases are bilateral.
• Men get clubfeet twice as often as women.

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Treatment

• Two stages of treatment
• Presurgery (also known as the Ponseti method)
• Gentle massage and manipulation of the
  clubfoot to stretch the contracted muscles, then
  casting to prevent relapse.
• Surgery
• In the past, multiple surgeries were performed to
  correct clubfeet.
• In the last 10-15 years, only one or two major
  surgeries are need to correct the problem.

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Living with Bilateral Clubfeet

• Physical restrictions
• No running
• No jumping
• Cant stand on toes
• Pain
• Accepting the handicap

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Review

• Clubfoot is a structural foot deformity present
  at birth.
• Its cause is unknown.
• 1 out of every 1000 people are born with
  clubfeet.
• Treatment not only includes surgery, but
  manipulation through the Ponseti Method.